Individual
SEVERINO M TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1675 NE LOOP 286, PARIS, TX 75460-2219
(903) 782-9922
(903) 900-4222
Mailing address
235 33RD ST SW, PARIS, TX 75460-5369
(903) 517-6248
(903) 900-4222
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1073997
TX
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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